The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.
Pulse 68 bpm
7 x 4 cm scar on the left lower abdomen.
Blood pressure 148/92
History of allergies
Last menstrual period
Shortness of breath
Pain 8/10
Brawny edema in lower extremities.
Temperature 101 SF
Use of medications at home
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"B"},"I":{"answers":"B"},"J":{"answers":"A"}}
Subjective data are based on what the patient reports. These include personal history and symptoms (e.g., allergies, menstrual period, pain level, and medication use).
Objective data are measurable facts that are observed or measured by the nurse, such as vital signs, physical findings (e.g., scars, edema), and lab results (e.g., temperature, blood pressure).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This term refers to the inability to recognize stimuli presented to both sides of the body simultaneously, often seen in cases of neurologic damage.
B. This refers to the ability to differentiate between various sensations, but it is not the specific term for identifying objects by touch.
C. This is the correct term for the ability to recognize objects through touch alone. The nurse would describe the client's ability to identify the key as stereognosis.
D. This refers to the ability to recognize letters or numbers written on the skin, typically with a fingertip, not the identification of a physical object.
Correct Answer is A
Explanation
A. The ballottement test involves pressing on the knee joint to check for the presence of fluid, which can indicate joint effusion.
B. The McMurray test is used to assess for meniscal tears, not for fluid around the patella.
C. The Tinel sign is used to assess for nerve compression, not fluid accumulation.
D. The Phalen test is used to diagnose carpal tunnel syndrome, not to assess for joint effusion.
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